Acute Stress Cardiomyopathy: Heart of pheochromocytoma

被引:13
作者
Cornu, Erika [1 ,2 ]
Motiejunaite, Justina [2 ,3 ]
Belmihoub, Ines [1 ,2 ]
Vidal-Petiot, Emmanuelle [2 ,3 ]
Mirabel, Mariana [2 ,4 ]
Amar, Laurence [1 ,2 ,5 ]
机构
[1] Hop Europeen Georges Pompidou, AP HP, Hypertens Unit, F-75015 Paris, France
[2] Univ Paris, Paris, France
[3] Hop Bichat Claude Bernard, AP HP, Dept Physiol, F-75018 Paris, France
[4] Hop Europeen Georges Pompidou, AP HP, Cardiooncol Unit, F-75015 Paris, France
[5] Univ Paris, PARCC, INSERM, Equipe Labellisee Ligue Canc, F-75015 Paris, France
关键词
Stress; Cardiomyopathy; Catecholamines; Pheochromocytoma; CRISIS;
D O I
10.1016/j.ando.2020.03.011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Stress cardiomyopathy (SCM) is a syndrome characterized by transient regional systolic dysfunction of the left ventricle in the absence of angiographic evidence of coronaropathy. This abnormality is associated with high levels of catecholamines. Stress cardiomyopathy is also called Takotsubo (TS) cardiomyopathy. Pheochromocytoma crisis can occur spontaneously or can be precipitated by manipulation of the tumor, trauma, certain medications or stress for example during non-adrenal surgery. The main drugs leading to pheochromocytoma crisis include D2 dopamine receptor antagonists, noncardioselective beta-adrenergic receptor blockers, tricyclic antidepressants and related neurotransmitter uptake blockers, sympathomimetics, certain peptide and steroid hormones and several agents used during induction of anesthesia. Patients can develop symptoms of heart failure associated with tachyarrhythmia, cardio-genic shock with hypotension and collapse, or apparent acute coronary syndromes. This review describes pathophysiology, epidemiology, diagnosis criteria and management of SCM. (C) 2020 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:201 / 205
页数:5
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